PLACEBO VENTURES LLC NPI 1245559012

NPI Information

NPI: 1245559012
Provider Name: PLACEBO VENTURES, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
5715 E 2ND ST
CASPER, WY
ZIP 82609
Phone: (307) 265-0005
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PLACEBO VENTURES, LLC is a family medicine in Casper, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PLACEBO VENTURES, LLC NPI is 1245559012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5715 E 2ND ST
CASPER, WY
ZIP 82609-322
Phone: (307) 265-0005

The provider's authorized official is Joseph Edward Mickelson .
The authorized official title is President and has the following contact phone number (307) 265-0947.

The enumeration date for this NPI number is 5/19/2010 and was last updated on 8/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	315272	OTHER	WYOMING	BLUE CROSS/BLUE SHIELD
2	110845000	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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